Active NPI
Bonnie Jean Epple, RN
- Registered Nurse
- Shakopee, MN
National Provider Identifier
1487781621
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- R 063944-2
- Practice address
- 1455 Saint Francis Ave
Shakopee, MN 55379-3374 - Phone
- (952) 403-3392
- Fax
- (952) 403-3806
- NPI assigned
- Feb 27, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | R 063944-2 | MN | Primary |
Addresses
Primary practice location
1455 Saint Francis Ave
Shakopee, MN 55379-3374
Mailing address
17265 Deerfield Dr SE
Prior Lake, MN 55372-3386
Phone (952) 440-3072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R 063944-2 | MN | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1487781621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17265 DEERFIELD DR SE",
"city": "PRIOR LAKE",
"state": "MN",
"postal_code": "553723386",
"telephone_number": "952-440-3072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1455 SAINT FRANCIS AVE",
"city": "SHAKOPEE",
"state": "MN",
"postal_code": "553793374",
"telephone_number": "952-403-3392",
"fax_number": "952-403-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EPPLE",
"first_name": "BONNIE",
"middle_name": "JEAN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MN",
"license": "R 063944-2",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shakopee, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.